"Knowledge and wisdom are two different terms. Knowledge to know and wisdom to understand."
-maritessmanalangquintorn-
This blog is dedicated to nurses. May we all continue to shine and serve as a guiding light.

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Thursday, January 14, 2010

NURSING CARE DURING THE STAGES OF LABOR

Nursing Care of the Mother1. Care of the Woman During the First StageStage Profile: Marked by duration and stress of laborNursing interventions: - Reduce anxiety and offer assistance - Do not interrupt breathing during contractions - Promote change of positions - Encourage voiding and promote bladder care - Encourage client to suck on hard candy, ice chips - Apply cream on dry lips of client - Administer IV solution in case of DHN - When hyperventilating, keep paper bag nearby and teach on how to use it

2. Care of the Woman During the Second StageStage Profile: Marked by intense contractionsNursing Interventions: - Provide client support - Assess and record v/s, FHR, uterine contractions - Prepare place of birth in advance - Convert the labor room to birth room - Make the client select positioning for birth - Promote second stage pushing - Clean perineum with warm antiseptic before birth

As soon as head is about 8cm across:Perform the Ritgen’s maneuverEncourage the woman to continue pushing until the occiput of fetal head is firmly a the pubic archOnce head is deliveredNote time of birth, announce sex of infantCut and clamp the cordIntroduce infant to initiate parent child relationship

Non Pharmacologic Pain reliefRelaxationFocusing on imagerySupport from a doula or coachBreathing techniquesBathing/ hydrotherapy : C/I in ruptured membranesTherapeutic touch and massageHypnosis: deep form of relaxationBiofeedback: based on belief that people can control and regulate internal events like HR and pain responseAcupressure and acupunctureHeat or cold applicationPharmacologic pain reliefLocal infiltrationPudendal nerve blockSpinal anesthesiaEpidural anesthesia